Behavior Of Participants Research Articles

Assessment of knowledge and behaviors of an opioid overdose education and naloxone distribution program during the coronavirus disease 2019 pandemic

BackgroundThe state of Louisiana ranked 4th in the US for per capita overdose rates as 56 out of 100,000 persons died due to overdose and 1,300 of those deaths involved opioids. Opioid involved deaths increased 131% between 2019 and 2022. A pharmacist-led opioid overdose education and naloxone distribution (OEND) program was developed at a SSP in New Orleans during the COVID-19 pandemic. The purpose of this research is to characterize the clients who participated in the OEND and to assess their learned knowledge and behaviors over time.MethodsA pharmacist led OEND program was created in April 2020 at a syringe service program (SSP) in New Orleans, Louisiana. OEND was provided by a licensed pharmacist and student pharmacists. OEND coincided with the SSPs activities one time a week. Participants first received harm reduction supplies through the SSP and then had the option of receiving OEND. Patients' demographic information was collected. Participants who said they received opioid overdose education from our OEND program were verbally given a knowledge and behavior assessment. Participants knowledge and behaviors were scored using a rubric.ResultsA total of 32 OEND sessions were held from July 2020 through February 2023 resulting in 1453 overall participant interactions. Repeat participants completed 269 visits and averaged 2.3 visits in three years. The average age of participants who received OEND was 40 years old. Additionally, participants who accessed OEND were primarily white (67.77%, n = 811/1300) and mostly male (59.15%, n = 769/1300). Among the participants who visited the OEND station more than once, 160 responses were collected for how helpful the previous education session had been. Of these responses, 75% (= 120/160) were “Very helpful”. Participants who repeated the program retained knowledge and showed a positive change in their behaviors regarding opioid overdose reversal.ConclusionsOEND programs established at SSPs play an important role in providing education to PWUD. Participants knowledge sustained over time; however, refresher education sessions may be valuable to ensure participants stay accurately informed. Participants find OEND helpful. As naloxone continues to become increasingly available, OEND is necessary in preventing opioid overdose deaths.

Vaccine Literacy and Hesitancy on routine and travelers' vaccines: a preliminary online survey.

The vast amount of conflicting information during the COVID-19 pandemic might have had a detrimental effect on people's opinions about vaccinations, including groups like travelers. This study aimed at assessing Vaccine Literacy in a sample of the general Italian population, together with antecedents of Vaccine Hesitancy, such as confidence, complacency, and convenience, the so-called "3Cs", and their effects on accepting routine and travelers' vaccines. A specifically designed anonymous questionnaire was created by using Google forms and validated through a face validity process. Subsequently, it was employed in an online cross-sectional survey. The assessment Vaccine Literacy scale used in this survey was similar to that employed in earlier surveys. In addition to demographic data and information sources used by participants, the questionnaire was composed, in total, of nine multiple choice questions on Vaccine Literacy, and six questions on the 3Cs. Considered outcomes were self-reported participants' beliefs, attitudes, behaviors and intentions toward recommended routinary adulthoods vaccines and arboviral vaccines for travelers. A section of the questionnaire focused on chikungunya awareness, taken as an example of arboviral disease that has caused outbreaks in Italy, but not yet vaccine-preventable at the time of the investigation. After cleaning the database, 357 responses were suitable for analysis. Vaccine Literacy mean functional score was 2.81 ± 0.74 (lower than in an earlier survey, p = 0.012), while the interactive-critical (score 3.41 ± 0.50) was higher (p<0.001). Vaccine literacy was confirmed to be associated with attitudes and behaviors towards vaccination, with the 3Cs often acting as a mediator. However, interactive Vaccine Literacy was misaligned with respect to functional and critical ones, as if looking for information sources or discussing about vaccination was less relevant than amidst the pandemic. Also, there was an increase in Vaccine Hesitancy, particularly with regard to travel vaccinations, with 10-17% of individuals refusing to be vaccinated if travelling in areas at risk. The main limitation of the study was the unbalance in demographic variables, in particular the education level. The study highlights the risks associated with current travel, including those related to climate change and the spread of vector-borne infections. It underscores the importance of raising awareness about arboviral diseases and the vaccines available to prevent them. As with all online surveys that employ convenience sampling, this study might not have provided a comprehensive representation of the entire population. Nevertheless, a dedicated analysis has been conducted to reduce biases and make data interpretation easier. Despite the need for further research, the findings indicate potential new approaches for assessing Vaccine Literacy and Vaccine Hesitancy, to ease the development of new communication strategies to enhance routine and travel vaccinations.

Analysis of Family Wealth and Participation in Commercial Insurance Behavior within the Influence of Confucian Culture

Based on the data samples from the China Household Finance Survey (CHFS) in 2017 and 2019, this study delves into the intrinsic relationship between Confucian culture, family wealth, and household participation in commercial insurance. The research findings indicate that Confucian culture positively promotes household participation in commercial insurance; an increase in family wealth significantly enhances households' willingness to participate in commercial insurance. Further analysis reveals that family satisfaction plays a crucial intermediary role between Confucian culture and household participation in commercial insurance. Additionally, the impact of Confucian culture on household commercial insurance participation behavior exhibits significant regional differences.

Value reciprocity mechanism in hotels: testing customer participation behaviour and value co-creation as mediators and previous experience as a moderator

PurposeThis study investigates the reciprocity mechanism in value co-creation and clarifies how service providers may effectively trigger customer participation behaviour and boost value co-creation to enhance customer citizenship behaviour, which brings extra benefits for service providers.Design/methodology/approachBy combining equity theory, social exchange theory and co-creation theory, this research proposes a model for the reciprocity mechanism in value co-creation incorporating customer co-creation perception (CCCP) conducting hotel dialogue, access, risk assessment and transparency (DART) activities; customer participation behaviour (CPB – information seeking, information sharing, responsible behaviour and personal interaction); customer citizenship behaviour (CCB – feedback, advocacy, helping and tolerance) and value co-creation in hotels. It also applies script theory to explore how customers’ previous experiences with the hotel may impact the value reciprocity mechanism. The collected data from tourists are analysed using partial least squares structural equation modelling (PLS-SEM).FindingsThe results confirm that CCCP drives CPB, value co-creation and CCB. CPB also enhances value co-creation, consequently boosting CCB. Moreover, CPB and value co-creation are the reciprocity mechanisms that mediate CCCP to CCB. Findings also reveal that CPB has a greater impact on value co-creation for first-time customers. In contrast, CCCP has a higher effect on value co-creation for repeat customers.Practical implicationsThe proposed model is a managerial tool that assists practitioners in effectively driving customer participation behaviour and improving value co-creation for first-time customers and repeat customers.Originality/valueThis study uncovers the significance of the hospitality service provider’s DART actions in forming customer perceptions and leading customer behaviour towards value co-creation.

Effects of a Virtual Reality-Based Aggression Control Program on Children with Autism Spectrum Disorder: A Case Study

Background/Objectives: Aggression is a major challenge for children with autism spectrum disorder (ASD), their family members, friends, and teachers because it can pose a threat or harm not only to the children with ASD but also to others. This study is a case study aimed at verifying the effectiveness of a virtual reality-based aggression control program for children with ASD. Methods: The participants were two children (one was a 10-year-old boy and the other was a 6-year-old girl) who participated in the ACAA (Aggression Replacement Training for Children and Adolescents with ASD) Program for eight sessions over three weeks. Results: The frequency (C1: 48 → 3; C2: 32 → 3) and severity of aggressive behaviors in both participants decreased after the intervention compared to before. Additionally, overall problematic behaviors were also reduced after the intervention (C1: 85 → 70; C2: 87 → 64). Furthermore, both participants demonstrated a slight increase in their levels of adaptation (C1: 17 → 20; C2: 16 → 18). Conclusions: The effectiveness of the ACAA program has been demonstrated in reducing levels of aggression in children with ASD. Therefore, the ACAA program may contribute to helping aggressive children with ASD live in harmony with others in society and promote independence.

Adventure sports athletes on social media: potential effects on adolescents’ sports participation and risk-taking behavior

Abstract As high physical inactivity and high social media use, especially in adolescents, are among the societal challenges of our time, this study aimed to investigate how adventure sport influencers (ASI) on social media affect adolescents in their adventure sport participation and behavior using mountain biking as an example. A qualitative research design was used. A total of 8 adolescent mountain bikers (aged between 11 and 15 years) and 8 pedagogical mountain bike experts who work with children and adolescents in bike clubs or bike camps were interviewed using semi-structured interviews and analyzed using a thematic content approach. Three themes were constructed through the analysis, namely influence of adventure sports athletes, risk-taking behavior and physical education (PE). ASI seem to motivate especially young adolescents to participate in the activity. Enhanced risk-taking was not associated with ASI, but with peers and competitions. Adolescents did not report comparing themselves with ASI or experiencing negative effects on their mental well-being related to ASI. PE was discussed as an opportunity to introduce children and adolescents to an individual sport popular among the youth and potentially to increase bike safety on the roads. As there was no social comparison with ASI, adolescents’ motivation for physical activity seemed to be unrelated to the detrimental effects on mental health which have been evaluated in research with fitness influencers on social media. Future studies should investigate the potential pedagogical implications of integrating mountain biking into physical education.

A survey study of physical activity participation in different organisational forms among groups of immigrants and descendants in Denmark

BackgroundSeveral studies have found that immigrants and descendants are less physically active than the majority population, particularly within sports clubs. However, most studies do not provide breakdowns by specific ethnic groups or organisational forms. Therefore, our paper analyses the influence of ethnicity, immigrant status, and sociodemographic and -economic characteristics on the physical activity participation of immigrants and descendants in sports clubs, commercial centres and self-organised activities in Denmark.MethodsData were collected through a survey study conducted in 2020, with responses from approximately 163,000 adults, of whom eight percent had an immigrant or descendant background. We conducted both a descriptive analysis of the dependent and independent variables and multiple logistic regression analyses, one including the entire sample (including citizens of Danish origin) and one including only citizens with an immigrant or descendant background.ResultsOur analysis revealed that immigrants and descendants, particularly those of non-Western origin, were significantly less likely than ethnic Danes to be active within the three organisational forms, with the smallest differences observed regarding participation in commercial centres. The analysis also revealed that besides ethnicity, immigrant status and sociodemographic and -economic characteristics were relevant in explaining differences in physical activity participation.ConclusionOur study makes a significant contribution to the literature on physical activity participation among immigrants and descendants from various backgrounds. By utilising a robust sample size and employing statistical analysis, we offer novel insights into participation patterns that have traditionally been explored more qualitatively. Besides the need to study physical activity participation in different organisational forms among different ethnic backgrounds, we also highlight the importance of considering immigrant status and sociodemographic and -economic characteristics in understanding participation behaviours. These findings imply the importance of adopting a holistic and nuanced approach to promoting physical activity participation among immigrant and descendant populations, considering the multifaceted nature of the barriers and facilitators influencing engagement within different organisational settings.

Live Music for Mental Health: A Pilot Study of How Concerts Influence Mental Health Stigma, Empathy, and Resource Utilization.

Mental illness, affecting one in eight people worldwide, is often exacerbated by stigma-which can result in self-stigmatization, isolation, and loneliness and negatively impact access to health care, education, and social connection. Previous research has found that stigma is best reduced through a combination of education about the stigmatized population and intentional contact with individuals from that population. Studies also note the benefits of community-based, culturally-relevant interventions and cultural experiences such as live music. Thus, this study posited that community-centered sources of contact and education, such as live music concerts, could offer effective, sustainable opportunities to reduce stigma and increase empathy about mental illness. To explore this approach, researchers evaluated Sound Mind Live's "Road to Recovery" (RtR) program, which addresses mental health stigma by training musicians to discuss the topic from stage, and by providing concert attendees with resources to improve education, awareness, and access to mental health supports. This pilot study evaluated RtR's impacts on stigma, empathy, knowledge, and actions related to mental illness. Using a pre-/post-survey design at two concerts in New York City, researchers measured changes in participants' attitudes, behaviors, and understanding of mental health issues. Findings indicate that concert attendance reduced stigma and negative behavioral assumptions related to mental illness, increased affective empathy, improved knowledge about mental illness, and increased attendees' likelihood of seeking support. This study informs further use of community-based arts experiences to address stigma, cultivate empathy and social connection, and improve care access.

Некооперативное речевое поведение в контексте слабоструктурированной ситуации директивного типа (на материале французского языка)

The study aims to identify the features of non-cooperative speech behavior of participants in situations expressing prescriptive, requestive and suggestive motifs in the context of weak structure (non-formalized) situations characterized by flexibility of the main situational parameters, such as the situational frame, the presence of hierarchical relationships between interlocutors, the distribution of situational roles, social conventions regarding correct speech behavior in the context under consideration. The scientific novelty of the study consists in the development of a methodology for applying the categories of H. P. Grice’s Cooperative Principle (CP) in the analysis of directive speech acts implemented within the framework of weak structure (non-formalized) situations by interlocutors exhibiting non-cooperative behavior. As a result of the study, it was revealed that violation of the CP on the part of the addressee results in the low perlocative effect of a directive speech act, leads to the need for speakers to use a variety of communicative strategies and tactics, makes it possible to exchange the communicative roles of the prescriptor and the performer of the prescription, while violation of the CP on the part of the prescriptor can be used as one of means of strengthening the directive intention. The categories of the CP are violated mainly in the context of the situation expressing a prescriptive motive, in the context of the implementation of a speech act of demand.

The Development of Training Package for Enhancing Transformational Leadership of Thai Buddhist University Students

The aims of this study were to: 1) assess the current and expected conditions of transformational leadership of Thai Buddhist university students; 2) develop and examine the effectiveness of training package to enhance the transformational leadership of Thai Buddhist university students, and 3) study the effectiveness of the training package. This research involved 478 informants and representative samples, including executives, instructors, students, experts, and stakeholders. The research instruments were semi-structured interviews and opinion questionnaires to assess the need for transformational leadership in the current and expected conditions. These were measured using a 5-level Likert rating scale. The current condition had a reliability of 0.949, the expected condition had a reliability of 0.950, and the overall reliability was 0.974. The quality assessment form of the training package included focus group discussions, the training package, the transformational leadership assessment form, the training participation behavior assessment form, and the satisfaction assessment form. The statistics used for data analysis were frequency, percentage, mean score, standard deviation, the priority index of needs (PNI modified), and dependent t-test. The research revealed that 1) The assessment of the needs of transformational leadership of Thai Buddhist university students found that consideration of individuality was the most needed aspect (PNI modified equal to .3441), followed by intellectual stimulation (PNI modified equal to .3440), inspiration (PNI modified equal to .3398), and ideological influence (PNI modified equal to .3364), respectively. 2) The creation of the training package thethrough an online group discussion process (Zoom) showed that all activities were appropriate. 3) The study of the effectiveness of the training package found that the average score of transformational leadership of the students was significantly higher than before training at a statistical level of .05. Additionally, the average scores for behavior and participation in training and satisfaction with the training were significantly higher than the specified criterion (3.51) at a statistical significance level of .05.

Fake reefs are sometimes reefs and sometimes not, but are always compositional

The semantics of adjective modification often begins with set intersection,such that [[yellow flower]] = [[yellow]] ∩ [[flower]]. Thus a yellow flower is a flower. Such an account, however, runs into problems for adjectives like fake or counterfeit, which display a privative inference: a fake gun is not a gun and a counterfeit dollar is not a dollar. Moreover, recent work shows privativity cannot easily be encoded as a property of specific adjectives like counterfeit, since e.g. counterfeit watch robustly licenses the subsective inference of being a watch (Martin 2022). We gather judgments on nearly 800 adjective-noun bigrams (of which 180 are novel, i.e. zero corpus frequency), andshow that privativity depends on the adjective, noun and context, and can be manipulated for the very same adjective-noun bigram by presenting it in different contexts. This poses a challenge for theories which fix privativity as a property of the adjective and always use the same method of composition (Partee 2010, del Pinal 2015). Moreover, we find no difference in participant behavior between novel adjective-noun bigrams and high frequency ones, suggesting that the process is nonetheless compositional and not the result of convention or memorized idiosyncrasy. Our results support compositional accounts like Martin (2022) (which modifies del Pinal 2015) and Guerrini (2024), which treat privativity as context-dependent.

Investigating the conditions in which women GPs thrive: a realist review protocol.

Women now make up approximately half of the GP workforce. However, many are leaving the profession. This could be because they experience higher rates of burnout, stress and anxiety, suicide, and lower rates of career progression. They also take on a greater load of emotional labour. Retaining this staff group is one of five priorities for future policy and research. This research aims to synthesise the available evidence on how general practice workplaces can best support women GPs to thrive at work. We propose to undertake a realist review, which seeks to understand why an approach may work in specific contexts. This involves building an understanding of how contextual factors affect the activation of mechanisms (ie, changes in participant reasoning or behaviours) to produce their outcomes. We will locate available evidence on the topic, and, using a realist logic of analysis develop an understanding as to how, why, for whom and in what contexts women GPs thrive at work. Evidence will include: academic literature, policy documents, media items and guidelines. Findings will be co-disseminated with PPI and stakeholder members to all key groups including policymakers, employers, the public, and academic audiences by a wide variety of means. This review is intended to improve understanding of how working environments affect women GPs. It is anticipated that findings will support the implementation of strategies to better support this group to thrive at work.

Bridging Experience and Practice: A Grounded Theory Study of Nurses' Hospitalisation Experiences as Patients or Family Members.

This study aimed to develop a grounded theory that explains how nurses' experiences as patients or family members influence their provision of patient-centred care. A grounded theory approach. Twenty clinical nurses in South Korea participated; nine had experiences as patients and 11 as family members during hospitalisation. Data were collected through semi-structured, in-depth interviews from January to October 2021. Participants were purposively sampled for diverse experiences, and all interviews were audio-recorded and transcribed verbatim. Data analysis followed grounded theory using the constant comparative method, with theoretical saturation reached after 20 interviews. The theory developed was built around the core category of 'transforming nursing practice through empathy and reflection in hospitalization experiences'. Participants experienced healthcare services in a wide range of areas, including nursing interactions, patient rights, the healthcare delivery system and hospital facilities. Based on these experiences, participants developed a deep understanding and empathy for the emotions and needs of patients and families, gaining new insights and reflections on their nursing practice. It led to a transformation in participants' attitudes and behaviours towards patient-centred care. This study demonstrates that reflective practice and empathy developed through personal hospitalisation are important factors in leading to the shift towards patient-centred care. These findings provide a theoretical framework for emphasising experiential learning opportunities in nursing education and training to apply patient-centred approaches in practice. Experiential learning approaches, such as simulation, role playing or caregiver training, can bridge the gap between clinical practice and patient expectations. Supportive work environments that encourage reflection on patient experiences help nurses maintain patient-centred practices despite challenges, leading to professional growth and improved patient outcomes. This study adhered to the COREQ checklist for reporting. No patient or public involvement.

Returning genetic risk information for hereditary cancers to participants in a population-based cohort study in Japan.

Large-scale population cohort studies that collect genomic information are tasked with returning an assessment of genetic risk for hereditary cancers to participants. While several studies have applied to return identified genetic risks to participants, comprehensive surveys of participants' understanding, feelings, and behaviors toward cancer risk remain to be conducted. Here, we report our experience and surveys of returning genetic risks to 100 carriers of pathogenic variants for hereditary cancers identified through whole genome sequencing of 50 000 individuals from the Tohoku Medical Megabank project, a population cohort study. The participants werecarriers of pathogenic variants associated with either hereditary breast and ovarian cancer (n = 79, median age=41) or Lynch syndrome (n = 21, median age=62). Of these, 28% and 38% had a history of cancer, respectively. We provided information on cancer risk, heritability, and clinical actionability to the participants in person. The comprehension assessment revealed that the information was better understood by younger (under 60 years) females than by older males. Scores on the cancer worry scale were positively related to cancer experiences and general psychological distress. Seventy-one participants were followed up at Tohoku University Hospital; six females underwent risk-reducing surgery triggered by study participation and three were newly diagnosed with cancer during surveillance. Among first-degree relatives of hereditary breast and ovarian cancer carriers, participants most commonly shared the information with daughters. This study showed the benefits of returning genetic risks to the general population and will provide insights into returning genetic risks to asymptomatic pathogenic variant carriers in both clinical and research settings.

Research Attitudes Questionnaire scores and retention in a recruitment registry.

Recruitment registries are maximally effective when registrants are retained to the point of referral. The Research Attitudes Questionnaire (RAQ) has previously been shown to predict research participation behaviors, including Alzheimer's disease clinical trial completion. To test the hypothesis that RAQ score is associated with retention behaviors in a local recruitment registry. Using data from the UC Irvine Consent-to-Contact Registry, a recruitment registry that enrolls adults 18 years and older, we used logistic regression to quantify the association of RAQ score and the odds of first-year non-renewal. Covariates included demographic variables, comorbidities, and recruitment source. In longitudinal analyses, we used discrete proportional hazards and Cox proportional hazards models to quantify the relationship between RAQ score and time to non-renewal and time to active withdrawal, respectively. Among n = 4663 participants, we estimated that a 5-point higher baseline RAQ score was associated with a 15% lower odds of first-year non-renewal, after adjustment for potential confounding factors (OR: 0.85, 95% CI: (0.79, 0.92), p < 0.001). Older age and higher education were also associated with lower odds of non-renewal while Asian race, Hispanic ethnicity, and certain recruitment sources (e.g., doctor or friend referral) were associated with higher odds of non-renewal. Higher baseline RAQ and higher annually updated RAQ were both significantly associated with lower odds of non-renewal longitudinally. Age, education, and some recruitment sources, but not RAQ, were associated with active withdrawal. Opportunities exist to identify predictors of registry retention behaviors and possible targets for intervention to improve related outcomes.

Culinary connections: The mediating role of customer brand co-creation behavior in gastronomic and revisit intentions

The increasing competition in the culinary tourism industry highlights the need for businesses to better understand customer behavior to encourage repeated visits. This study investigates the mediating role of customer brand co-creation behavior in the effect of gastronomic experience on revisit intention among Generation Z café visitors in Bali, Indonesia. Data were collected from 250 respondents via an online survey and analyzed using Partial Least Squares Structural Equation Modeling. The analysis reveals that gastronomic experience has a significant positive impact on revisit intention (β = 0.479, p &amp;amp;lt; 0.05) and customer brand co-creation behavior (β = 0.534, p &amp;amp;lt; 0.05). Additionally, customer brand co-creation behavior positively influences revisit intention (β = 0.380, p &amp;amp;lt; 0.05) and mediates the relationship between gastronomic experience and revisit intention (β = 0.203, p &amp;amp;lt; 0.05). These findings suggest that providing high-quality gastronomic experiences, focusing on food, service, and environment, and encouraging active customer participation in co-creation activities can significantly enhance the likelihood of repeat visits. By fostering deeper customer participation and brand co-creation behavior, businesses can significantly enhance revisit intention, which is essential for long-term success in the competitive culinary tourism sector. These findings contribute to a better understanding of the dynamics between gastronomic experiences, customer brand co-creation behavior, and revisit intentions. AcknowledgementThis research was funded by LPPM Universitas Udayana, Indonesia with contract number: B/255.108/UN14.4.A/PT.01.03/2024.

Does Participation in Group Music Activities and Pro-Social Behavior Among College Students Have an Association? A Study of the Interlocking Mediating Effects of Positive Social Connections and Peer Support.

It has been demonstrated that music can be an effective tool for shaping the future of college students. This study aimed to investigate the effects of college students' participation in group music activities on their pro-social behavior, and for the first time introduced the psychological variables of "positive social connections" and "perceived peer support". The results of this study show the following: (1) Group music activity participation is positively associated with pro-social behavior. (2) Positive social connections serve as a mediator between college student group music activity participation and college students' pro-social behavior. (3) Perceived peer support serves as a mediator between college student group music activity participation and college students' pro-social behavior. (4) Positive social connections and perceived peer support interlock to shape the relationship between group music activity participation and pro-social behavior. This study explores the intrinsic factors of college students' participation in group music activities to promote their pro-social behavior from the dual perspectives of music psychology and behavioral psychology, provides empirical support for educational practice, emphasizes the importance of group music activities in promoting the development of college students' pro-social behavior, and provides insights into new perspectives for college students' overall healthy development.

Customer participation behavior and customer citizenship behavior in hotels: Testing co-production and value-in-use as mediators

This study investigates customers’ contribution to value co-creation by exploring the associations between customer co-creation behavior, including customer participation and customer citizenship behavior, and co-creation processes, namely, co-production and value-in-use. It combines co-creation theory with equity and social exchange theories to propose a model for customer behavior towards value co-creation. Using Partial Least Squares Structural Equation Modeling (PLS-SEM), data were collected from tourists staying at hotels in Portugal. Results indicate that customer participation behavior envisages co-production and value-in-use, while the two forms of value co-creation subsequently improve customer citizenship behavior. Moreover, co-production enhances value-in-us. Additionally, customer participation behavior is associated with customer citizenship behavior through co-production and value-in-use. This research contributes to the co-creation theory by proving co-production and value-in-use as transforming mechanisms that turn customer participation behavior into customer citizenship behavior. Applying the proposed model as a managerial tool in hotels improves co-creation processes and boosts customer citizenship behavior.

Building the capacity of young professionals in family planning to publish: Insights from the ICFP2022 WHO scientific writing, mentoring and coaching course.

We describe the development, delivery, and evaluation of a program to support junior professionals to publish their work in a scientific journal. Conference delegates with an accepted abstract at the International Conference on Family Planning (ICFP), self-identifying as junior professionals and from a low- or middle-income country (LMIC) or working predominantly in LMIC settings, were eligible for the program. The program involved: (1) Four face-to-face workshops at ICFP from the 14th to 17th of November 2022; (2) mentoring meetings at ICFP; (3) a six-month post-conference online coaching program; and (4) post-conference learning webinars from December 2022 to May 2023. We used online surveys to assess the participants' reactions, learning, and behaviour changes to the workshops and the online coaching program. We present participants' self-reported progress towards achieving a scientific publication. Sixty-seven participants from 29 countries participated in the workshops, and 40 attended the post-conference program. Workshops were rated positively, though the in-conference mentoring program faced challenges, including low attendance. The post-conference program was highly rated, with most participants engaging well with coaching and the webinars. At the end of the six-month program, 31 (46%) participants reported some progress in manuscript writing, with five completed manuscripts submitted. Scientific writing is a complex skill, and whilst our program had several positive elements, our participants faced many challenges completing their manuscripts within six months. The post-conference coaching and webinar program was rated highly, emphasising the need for ongoing support. Future programs should address this and other difficulties we highlight.

Mapping the use of cardiovascular genetic services in pediatric clinical care: challenges and opportunities for improvement.

Clinical genetic testing is increasingly integrated in managing and diagnosing cardiac conditions and disease. It is important to identify ongoing challenges. This study aimed to better understand how genetic testing is integrated into pediatric cardiac care and identify barriers and opportunities for improvement. We conducted qualitative interviews with pediatric cardiology clinicians (N = 12). Following a journey mapping approach to data analysis, we described genetic testing workflow phases, participants' thoughts and behaviors within each phase, and barriers and opportunities for improvement. Participants described several challenges across the genetic testing workflow, from identifying patients for testing to disclosing results to the patients. Testing logistics, decision-making, and collaboration emerged as the most prominent challenges. Variation remains in the utilization of genetic testing, partially driven by case complexity and type of testing and attributable to other factors, like the level of interaction with genetics experts and inconsistent processes within the electronic medical record. Clinical genetic pediatric cardiology requires more systematic integration of genetic testing and transparent processes. Major opportunities include the interplay between clinicians, genetic experts, and the EMR. Incorporating process mapping results into clinical logistics may eradicate some barriers experienced by pediatric cardiologists and increase clinical efficiency.